女性乳腺恶性肿瘤住院患者医护需求及影响因素的研究
|
摘要
第一篇女性乳腺恶性肿瘤住院患者医护需求量表的编制及信效度考评
目的：编制适合中国文化背景和语言习惯的乳腺恶性肿瘤住院患者需求量表。检验编制量表的信度和效度。
方法：在马斯洛需求模型和新型医学模式的指导下,广泛查阅国内外文献,参考国外需求量表,对医务人员和患者进行访谈,听取专家小组的意见,构建量表的基本框架,形成初始测试量表。采用随机整群抽样的方法,使用初始测试量表调查了115名住院治疗的乳腺癌患者,通过专家评分法、应答率、t检验法、相关系数法、变异度法、反应度法、多元线性回归分析法、克朗巴赫系数法、因子分析法等方法进行条目分析,保留条目形成乳腺恶性肿瘤住院患者医护需求量表测试版,并使用重测信度、克朗巴赫系数、分半信度、内容效度、结构效度、区分效度、效标关联效度等方法考察量表的信度和效度。
结果：初始测试量表具有64个条目,使用8种方法进行条目筛选,保留被6种以上方法选中的条目,调整保留了性知识维度的3个条目,最终形成了具有38个条目,疾病知识、环境、性知识、情感4个维度的测试量表,与理论构想一致。4个维度和总分的重测信度分别为0.791、0.815、0.753、0.632和0.781；克朗巴赫系数分别为0.914、0.889、0.879、0.936和0.959。各个维度的分半信度在0.837-0.918之间,总量表的分半信度是0.935。使用主成分因子分析法提取4个公因子,并使用正交旋转法进行因子旋转,共解释总变异的58.605%。情感维度有16个条目,方差贡献率为18.866%；知识维度有12个条目,方差贡献率为16.329%；环境需求维度共计7个条目,方程贡献率为15.467%；性知识维度有3个条目；方差贡献率为7.944%。使用结构方程绘制了4个维度和总量表的路径图,模型适配良好,5个模型的AIC值均小于饱和模型和独立模型。条目与所在维度的相关系数均大于与其它维度的相关系数,维度之间的相关系数在0.213-0.564之间,维度与总分的相关系数在0.499-0.778之间。使用数据方程构建4个维度之间的6个关系模型,显示6个组合的未限制模型与限制模型的卡方差异值均有显著的不同,4个维度的维度划分区分效度良好。4个维度以及总分与简易满意度量表的相关系数为-0.371、-0.315、-0.241、-0.261和-0.353。与欧洲乳腺癌症患者生活质量特异量表的相关系数为-0.310-0.402之间。
结论：乳腺恶性肿瘤住院患者医护需求量表是可靠的、灵敏的、有效的、具有独立性和代表性,可以作为乳腺癌患者需求的测量工具应用于医疗实践。
第二篇女性乳腺恶性肿瘤住院患者医护需求及影响因素研究
目的：了解我国乳腺恶性肿瘤患者的需求现状,探讨需求的影响因素,为患者医疗护理和健康教育工作提供参考。
方法：采用随机抽样的方法抽取调查对象,使用一般人口学资料问卷、临床资料问卷和自编的乳腺恶性肿瘤住院患者医护需求量表对住院治疗的乳腺恶性肿瘤患者进行调查。采用SP免疫组织化学染色方法检测被调查者乳腺组织的雌激素受体、孕激素受体和人表皮生长因子受体2的表达。使用两样本t检验比较不同治疗阶段、年龄组、工作状态、手术方式患者需求在不同维度得分和总量表的得分。使用单因素方差分析比较不同人均月收入、文化程度、家庭结构、付款方式、病理表达和不同免疫组化分类的患者需求在不同维度和量表的得分。将量表的总分、知识维度、环境维度、性知识维度、情感维度的需求得分作为因变量,采用多元线性回归分析的逐步选择法探讨需求的影响因素,其中a入=0.05,a出=0.10。使用结构方程模型绘制4个维度和总量表与可能影响因素的路径图。
结果：需求量表的总分为63.433±17.132,知识、环境、性知识和情感四个维度的得分分别为65.615±20.854、67.636±20.131、42.854±28.640、63.743±18.334。性知识维度得分显著低于其它维度,环境维度高于情感维度。年轻患者性知识需求较高；处于手术治疗阶段的患者对疾病知识需求、环境需求和情感需求较高；人均月收入高的患者在环境需求和情感需求较其他人群高；独居患者的知识需求明显低于其它家庭结构的患者；处于全休状态的患者在知识、环境和总需求的得分显著高于处于工作状态的患者；参加新型农村医疗的患者的环境、情感和总的需求低于其它付款方式的患者,ER和PR表达阳性的患者环境、情感和总的需求高于表达阴性的患者。获得需求信息的主要方式为知识宣传手册、与医务人员面对面交流和从电视节目中获得信息。患者的需求受多种因素影响,工作状态、人均月收入、使用中药治疗、治疗所处阶段、ER的表达是总需求的影响因素；工作状态、人均月收入、治疗所处阶段是知识需求的影响因素；工作状态、人均月收入、治疗所处阶段、ER的表达是环境需求的影响因素；年龄和人均月收入是性知识需求的影响因素；PR的表达和人均月收入是情感需求的影响因素。结构方程在4个维度和量表共拟合了8个路径图,8个模型的所有的卡方自由度比均小于2.5,CFI值均大于0.85,NFI值均大于0.80,RMSEA均小于0.08,P值均大于0.05,模型拟合良好。
结论：对于不同的患者给予不同的需求关注：年轻的患者性知识需求；手术治疗阶段患者的知识、环境和情感需求；人均月收入高患者的环境和情感需求；全休患者的知识、环境需求；医疗费用保障好患者的环境和情感需求。需求的影响因素主要有调查时工作状态、人均月收入、治疗所处阶段和雌激素受体的表达。医务人员应主动给予年老、低收入、接受化放疗治疗和免疫组化染色结果阴性的患者更多的健康教育。
Chapter one:Development of the demand scale in female breast cancer hospitalized patients and evaluation of reliability and validity
Objective:To develop a demand scale in Chinese and test the reliability and validity.
Methods:On the basis of Maslow's model and the new medical model, we read the foreign and domestic papers, refer to foreign demand tables, interviews with medical staff and patients, follow the suggestions of the experts, make the frame of scale. After these, the original table was made.115inpatient breast cancer patients were chosen to test the initial scale randomly. More than10methods were used to analysis the initial scale, including experts importance score, response rate, t-test, correlation coefficient, method variability, responsiveness analysis, stepwise regression analysis, Cronbach's coefficient. The remaining entries form the breast cancer beta sheet, the reliability and validity were tested by test-retest reliability, Cronbach's coefficient, split-half reliability, content validity, construct validity, discriminant validity criterion-related validity testing methods and so on.
Results:Original scale has64items, which was analyzied by10methods. There were8methods where items were deleted. The items were chosen if selected by more than6methods,3items in sex knowledge dimension were adjusted and retained. The scale had38items and4dimension including disease knowledge, environment needs, knowledge needs, Psychological needs of the investigation. The scale was consistent with theoretical ideas. The four dimensions and scale of the test-retest reliability score was0.791、0.815.0.753.0.632and0.781respectively. Cronbach's coefficients were0.914.0.889.0.879.0.936and 0.959. Every dimensions of split-half reliability varied between0.837to0.913, total scale split-half reliability were0.935. Principal component factor analysis was used to extract four common factors; the orthogonal rotation method was used for factor rotation,58.605%of total variance can be explained.Psychological dimensions had16items, the variance contribution rate was19.203%.Disease knowledge dimension has12items, variance contribution was17.359%. environment demand dimension had7items, the contribution rate was12.576%. Sex knowledge dimension had3items, variance contribution was7.944%.Four dimensions and total scale of the path map were drawn with equation, the model fit well,5model AIC values were less than the saturated model and independent model. The correlation coefficients between the items and its dimension was significant than the correlation with other dimensions, the correlation coefficients varied between0.213and0.564. The dimensions and total score correlation coefficients were between0.499and0.778. Equations were used to build six relationships between four dimensions, which showed six combinations unrestricted model and restricted models were significantly different, the four dimensions had good discriminate validity. The correlated factors between four dimensions and the total and simple satisfaction scale score were-0.371、-0.315.-0.241、-0.261and-0.353. The correlation coefficient factors with European quality of life scale for breast cancer patients were between-0.310and0.402.
Conclusion:The demand scale for Breast cancer patients demand is reliable, sensitive and effective, it is independent and representative, which can serve as a tool for breast cancer patient needs analysis and be used in clinical practice as a supplement for clinical diagnosis and treatment.
Chapter two:Health care Demand and Influence factors of Demand in female breast cancer hospitalized patients
Objective:To find the needs condition of breast cancer in China and explore the influence factors of demand. Provide a reference for health education.
Methods:To investigate the breast cancer patients with self made scale including general demographic scale, clinical data questionnaire and breast cancer demand scale. To test estrogen receptor, progesterone receptor and human epidermal growth factor receptor2expression with SP immunohistochemical staining. T-test was used to compare the difference of demand in different stages of treatment, different age groups, different working conditions, and different surgical procedures. The one way variance analysis was used to compare the difference of patient needs in different family incomes, different education levels, different marital status, different payment ways, different pathological expression, different surgical methods and different classification of immunohistochemical expression. Multiple linear regression was used to explore the influence factors in the scale score, disease knowledge dimensions scores, physical dimensions score, dimensions of sex knowledge, social and psychological dimensions of score, ain=0.05, aout=0.10. Structural equation was used to build the reod map between dimensions, scale and influence factors.
Results:The total score of demand scale is63.433±17.132, the score of disease knowledge, physical needs, sex knowledge needs and psychosocial needs were65.615±20.854,67.636±20.131,42.854±28.640, and63.743±18.334individually. Sex knowledge score was significantly lower than other dimensions, the environment needs were more than emotional needs. Young patients had stronger knowledge than old patients. Patients in operative period had higher scores than in chemotherapy or radiotherapy in disease knowledge needs, physical needs and psychosocial needs. Patients with high family income had higher needs than other groups in environment needs and psychological needs. Knowledge needs of patients living alone were significantly lower than patients with other family structures. Knowledge、environment and total needs in patients at rest were significantly higher than patient working. Environment、emotional and total needs in patients who participate new rural medical care were lower than patients with other payment methods. Environmental、emotional and total needs in patients with ER and PR positive expression were higher than patients with ER and PR negative expression. The main way to obtain demand were information brochures for the knowledge, the medical staff face to face and get information from television programs. The needs of patients were affected by many factors, including Work status, family income, whether to use traditional Chinese medicine, treatment of the stage, ER expression. Work status, family income, the treatment stages were influence factors of disease knowledge needs. Work status, family income, the treatment stages, ER expression were the influence factors in physical needs. Age and family income were influence factors in sex knowledge needs. PR expression and family income were the influence factors in psychosocial demands.There are8maps in the scale and four dimensions. All the values between chi-square degrees and freedom are less than2in all the8models. All CFI values are greater than0.90, all NFI values greater than0.90, all RMSEA values are less than0.08, all P values are greater than0.05, models are good settled.
Conclusions:The doctors should pay different attention to need to different patients. Younger patients had stronger knowledge needs. Surgical patients had more disease knowledge needs. Patients with high monthly income had high physical needs and psychological needs than in other groups. Patients at rest had more knowledge needs and environmental needs. Patients who had good medical care had more environmental and emotional needs. The influencing factors of needs had working status、family income、treatment stage and ER expression. More active health education should be given in old, low income, young, surgical patients, and immunohistochemical negative expression patients.
目的：编制适合中国文化背景和语言习惯的乳腺恶性肿瘤住院患者需求量表。检验编制量表的信度和效度。
方法：在马斯洛需求模型和新型医学模式的指导下,广泛查阅国内外文献,参考国外需求量表,对医务人员和患者进行访谈,听取专家小组的意见,构建量表的基本框架,形成初始测试量表。采用随机整群抽样的方法,使用初始测试量表调查了115名住院治疗的乳腺癌患者,通过专家评分法、应答率、t检验法、相关系数法、变异度法、反应度法、多元线性回归分析法、克朗巴赫系数法、因子分析法等方法进行条目分析,保留条目形成乳腺恶性肿瘤住院患者医护需求量表测试版,并使用重测信度、克朗巴赫系数、分半信度、内容效度、结构效度、区分效度、效标关联效度等方法考察量表的信度和效度。
结果：初始测试量表具有64个条目,使用8种方法进行条目筛选,保留被6种以上方法选中的条目,调整保留了性知识维度的3个条目,最终形成了具有38个条目,疾病知识、环境、性知识、情感4个维度的测试量表,与理论构想一致。4个维度和总分的重测信度分别为0.791、0.815、0.753、0.632和0.781；克朗巴赫系数分别为0.914、0.889、0.879、0.936和0.959。各个维度的分半信度在0.837-0.918之间,总量表的分半信度是0.935。使用主成分因子分析法提取4个公因子,并使用正交旋转法进行因子旋转,共解释总变异的58.605%。情感维度有16个条目,方差贡献率为18.866%；知识维度有12个条目,方差贡献率为16.329%；环境需求维度共计7个条目,方程贡献率为15.467%；性知识维度有3个条目；方差贡献率为7.944%。使用结构方程绘制了4个维度和总量表的路径图,模型适配良好,5个模型的AIC值均小于饱和模型和独立模型。条目与所在维度的相关系数均大于与其它维度的相关系数,维度之间的相关系数在0.213-0.564之间,维度与总分的相关系数在0.499-0.778之间。使用数据方程构建4个维度之间的6个关系模型,显示6个组合的未限制模型与限制模型的卡方差异值均有显著的不同,4个维度的维度划分区分效度良好。4个维度以及总分与简易满意度量表的相关系数为-0.371、-0.315、-0.241、-0.261和-0.353。与欧洲乳腺癌症患者生活质量特异量表的相关系数为-0.310-0.402之间。
结论：乳腺恶性肿瘤住院患者医护需求量表是可靠的、灵敏的、有效的、具有独立性和代表性,可以作为乳腺癌患者需求的测量工具应用于医疗实践。
第二篇女性乳腺恶性肿瘤住院患者医护需求及影响因素研究
目的：了解我国乳腺恶性肿瘤患者的需求现状,探讨需求的影响因素,为患者医疗护理和健康教育工作提供参考。
方法：采用随机抽样的方法抽取调查对象,使用一般人口学资料问卷、临床资料问卷和自编的乳腺恶性肿瘤住院患者医护需求量表对住院治疗的乳腺恶性肿瘤患者进行调查。采用SP免疫组织化学染色方法检测被调查者乳腺组织的雌激素受体、孕激素受体和人表皮生长因子受体2的表达。使用两样本t检验比较不同治疗阶段、年龄组、工作状态、手术方式患者需求在不同维度得分和总量表的得分。使用单因素方差分析比较不同人均月收入、文化程度、家庭结构、付款方式、病理表达和不同免疫组化分类的患者需求在不同维度和量表的得分。将量表的总分、知识维度、环境维度、性知识维度、情感维度的需求得分作为因变量,采用多元线性回归分析的逐步选择法探讨需求的影响因素,其中a入=0.05,a出=0.10。使用结构方程模型绘制4个维度和总量表与可能影响因素的路径图。
结果：需求量表的总分为63.433±17.132,知识、环境、性知识和情感四个维度的得分分别为65.615±20.854、67.636±20.131、42.854±28.640、63.743±18.334。性知识维度得分显著低于其它维度,环境维度高于情感维度。年轻患者性知识需求较高；处于手术治疗阶段的患者对疾病知识需求、环境需求和情感需求较高；人均月收入高的患者在环境需求和情感需求较其他人群高；独居患者的知识需求明显低于其它家庭结构的患者；处于全休状态的患者在知识、环境和总需求的得分显著高于处于工作状态的患者；参加新型农村医疗的患者的环境、情感和总的需求低于其它付款方式的患者,ER和PR表达阳性的患者环境、情感和总的需求高于表达阴性的患者。获得需求信息的主要方式为知识宣传手册、与医务人员面对面交流和从电视节目中获得信息。患者的需求受多种因素影响,工作状态、人均月收入、使用中药治疗、治疗所处阶段、ER的表达是总需求的影响因素；工作状态、人均月收入、治疗所处阶段是知识需求的影响因素；工作状态、人均月收入、治疗所处阶段、ER的表达是环境需求的影响因素；年龄和人均月收入是性知识需求的影响因素；PR的表达和人均月收入是情感需求的影响因素。结构方程在4个维度和量表共拟合了8个路径图,8个模型的所有的卡方自由度比均小于2.5,CFI值均大于0.85,NFI值均大于0.80,RMSEA均小于0.08,P值均大于0.05,模型拟合良好。
结论：对于不同的患者给予不同的需求关注：年轻的患者性知识需求；手术治疗阶段患者的知识、环境和情感需求；人均月收入高患者的环境和情感需求；全休患者的知识、环境需求；医疗费用保障好患者的环境和情感需求。需求的影响因素主要有调查时工作状态、人均月收入、治疗所处阶段和雌激素受体的表达。医务人员应主动给予年老、低收入、接受化放疗治疗和免疫组化染色结果阴性的患者更多的健康教育。
Chapter one:Development of the demand scale in female breast cancer hospitalized patients and evaluation of reliability and validity
Objective:To develop a demand scale in Chinese and test the reliability and validity.
Methods:On the basis of Maslow's model and the new medical model, we read the foreign and domestic papers, refer to foreign demand tables, interviews with medical staff and patients, follow the suggestions of the experts, make the frame of scale. After these, the original table was made.115inpatient breast cancer patients were chosen to test the initial scale randomly. More than10methods were used to analysis the initial scale, including experts importance score, response rate, t-test, correlation coefficient, method variability, responsiveness analysis, stepwise regression analysis, Cronbach's coefficient. The remaining entries form the breast cancer beta sheet, the reliability and validity were tested by test-retest reliability, Cronbach's coefficient, split-half reliability, content validity, construct validity, discriminant validity criterion-related validity testing methods and so on.
Results:Original scale has64items, which was analyzied by10methods. There were8methods where items were deleted. The items were chosen if selected by more than6methods,3items in sex knowledge dimension were adjusted and retained. The scale had38items and4dimension including disease knowledge, environment needs, knowledge needs, Psychological needs of the investigation. The scale was consistent with theoretical ideas. The four dimensions and scale of the test-retest reliability score was0.791、0.815.0.753.0.632and0.781respectively. Cronbach's coefficients were0.914.0.889.0.879.0.936and 0.959. Every dimensions of split-half reliability varied between0.837to0.913, total scale split-half reliability were0.935. Principal component factor analysis was used to extract four common factors; the orthogonal rotation method was used for factor rotation,58.605%of total variance can be explained.Psychological dimensions had16items, the variance contribution rate was19.203%.Disease knowledge dimension has12items, variance contribution was17.359%. environment demand dimension had7items, the contribution rate was12.576%. Sex knowledge dimension had3items, variance contribution was7.944%.Four dimensions and total scale of the path map were drawn with equation, the model fit well,5model AIC values were less than the saturated model and independent model. The correlation coefficients between the items and its dimension was significant than the correlation with other dimensions, the correlation coefficients varied between0.213and0.564. The dimensions and total score correlation coefficients were between0.499and0.778. Equations were used to build six relationships between four dimensions, which showed six combinations unrestricted model and restricted models were significantly different, the four dimensions had good discriminate validity. The correlated factors between four dimensions and the total and simple satisfaction scale score were-0.371、-0.315.-0.241、-0.261and-0.353. The correlation coefficient factors with European quality of life scale for breast cancer patients were between-0.310and0.402.
Conclusion:The demand scale for Breast cancer patients demand is reliable, sensitive and effective, it is independent and representative, which can serve as a tool for breast cancer patient needs analysis and be used in clinical practice as a supplement for clinical diagnosis and treatment.
Chapter two:Health care Demand and Influence factors of Demand in female breast cancer hospitalized patients
Objective:To find the needs condition of breast cancer in China and explore the influence factors of demand. Provide a reference for health education.
Methods:To investigate the breast cancer patients with self made scale including general demographic scale, clinical data questionnaire and breast cancer demand scale. To test estrogen receptor, progesterone receptor and human epidermal growth factor receptor2expression with SP immunohistochemical staining. T-test was used to compare the difference of demand in different stages of treatment, different age groups, different working conditions, and different surgical procedures. The one way variance analysis was used to compare the difference of patient needs in different family incomes, different education levels, different marital status, different payment ways, different pathological expression, different surgical methods and different classification of immunohistochemical expression. Multiple linear regression was used to explore the influence factors in the scale score, disease knowledge dimensions scores, physical dimensions score, dimensions of sex knowledge, social and psychological dimensions of score, ain=0.05, aout=0.10. Structural equation was used to build the reod map between dimensions, scale and influence factors.
Results:The total score of demand scale is63.433±17.132, the score of disease knowledge, physical needs, sex knowledge needs and psychosocial needs were65.615±20.854,67.636±20.131,42.854±28.640, and63.743±18.334individually. Sex knowledge score was significantly lower than other dimensions, the environment needs were more than emotional needs. Young patients had stronger knowledge than old patients. Patients in operative period had higher scores than in chemotherapy or radiotherapy in disease knowledge needs, physical needs and psychosocial needs. Patients with high family income had higher needs than other groups in environment needs and psychological needs. Knowledge needs of patients living alone were significantly lower than patients with other family structures. Knowledge、environment and total needs in patients at rest were significantly higher than patient working. Environment、emotional and total needs in patients who participate new rural medical care were lower than patients with other payment methods. Environmental、emotional and total needs in patients with ER and PR positive expression were higher than patients with ER and PR negative expression. The main way to obtain demand were information brochures for the knowledge, the medical staff face to face and get information from television programs. The needs of patients were affected by many factors, including Work status, family income, whether to use traditional Chinese medicine, treatment of the stage, ER expression. Work status, family income, the treatment stages were influence factors of disease knowledge needs. Work status, family income, the treatment stages, ER expression were the influence factors in physical needs. Age and family income were influence factors in sex knowledge needs. PR expression and family income were the influence factors in psychosocial demands.There are8maps in the scale and four dimensions. All the values between chi-square degrees and freedom are less than2in all the8models. All CFI values are greater than0.90, all NFI values greater than0.90, all RMSEA values are less than0.08, all P values are greater than0.05, models are good settled.
Conclusions:The doctors should pay different attention to need to different patients. Younger patients had stronger knowledge needs. Surgical patients had more disease knowledge needs. Patients with high monthly income had high physical needs and psychological needs than in other groups. Patients at rest had more knowledge needs and environmental needs. Patients who had good medical care had more environmental and emotional needs. The influencing factors of needs had working status、family income、treatment stage and ER expression. More active health education should be given in old, low income, young, surgical patients, and immunohistochemical negative expression patients.
引文
[1]Davide Radice, Alberto Redaelli. Breast Cancer Management Quality-of-Life and Cost Considerations. Pharmacoeconomics 2003; 21 (6):383-396.
[2]Mary A. Hooks. Breast Cancer:Risk Assessment and Prevention. South Med J.2010 Apr;103(4):333-8.)
[3]Anderson BO, Yip CH, Smith RA, Shyyan R, Sener SF, Eniu A, et al. Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the breast health global initiative global summit 2007. Cancer 2008;113(8 Suppl.):2221-43.
[4]Porter P. "Westernizing" women's risks? Breast cancer in lower-income countries. N Engl J Med 2008;358:213-6.
[5]方亚,胡海兰.女性乳腺癌危险因素及其变化.中国卫生统计,2009,26(3)：241-246.
[6]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析.现代预防医学.2011,38(3)：468-469.
[7]段学葵,罗志勇.乳腺癌的社区干预与综合防控.中国慢性病预防与控制.2011,19(1)：106-108.
[8]潘秀丹,王慧文,李洵.沈阳市乳腺癌流行病学分析.现代预防医学.2008,35(1)：22-23、26.
[9]赵惠利.郑州市2003～2007年女性乳腺癌发病分析.医药论坛杂志.2008,29(10)：40-41.
[10]许红,毛德强,王燕.重庆市女性肿瘤发病率及年龄特征分析.重庆医学.2010,39(11)：1422-1423、1447.
[11]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.)。
[12]张馨遥.健康信息需求研究的内容与意义.医学与社会.2010,23(1)：51-53.
[13]Juan Ignacio Arraras, Stephen Wright, Eva Greimel, et al. Development of a questionnaire to evaluate the information needs of cancer patients:the EORTC questionnaire. Patient Education and Counseling,54 (2004):235-241.
[14]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[15]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.
[16]Allison Boyes, Afaf Girgis, Christophe. Brief assessment of adult cancer patients' perceived needs:development and validation of the 34-item supportive care needs survey(SCNS-SF34). Journal of evaluation in clinical practice.15(2009):602-606.
[17]Bonevski B, San son-Fisher R, Girgis A et al. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-225.
[18]Galloway S., Graydon J., Harrison D., et al. informational needs of women with a recent diagnosis of breast cancer:development and initial testing of a tool. Journal of advanced nursing,25(1997):1175-1183.
[19]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[20]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—《癌症患者信息选择问卷》的编制与评估.中国心理卫生杂志.2003,17(11)：750-753.
[21]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—病人、亲属、医护人员观点比较.中国心理卫生杂志.2003,17(11)：757-759,773.
[22]付菊芳,黄颖,白燕妮,等.96例晚期癌症病人需求评估研究.护理研究.2006,20(7)：1717-1720.
[23]张英敏.晚期癌症病人需求的分析与护理体会.天津护理.2008,16(2)：81-82.
[24]杨洪菊,徐凌中,陈长奇,等.住院病人护理需求调查表的研制.护理研究.2008,22(5)：1211-1213.
[25]杨洪菊,牛铭芸,沈传侠,等.住院病人护理需求的影响因素分析.泰山医学院学报.604-608.
[26]Richard Fielding. Wendy W.T. Lam. Measuring Social Impacts of Breast Carcinoma Treatment in Chinese Women:The Chinese Social Adjustment Scale.cancer.100(2004):2500-2511.
[27]刘敏,张任,苏丽娟.85例膀胱肿瘤患者围手术期健康知识需求与分析.齐齐哈尔医学院学报.2008,29(20)：2525-2526.
[28]冯雨莲.癌症患者及其家属心理因素及心理需求探讨.中国保健医学导报.2006,16(20)：50-51.
[29]胡碧云,钟慧萍.癌症放摄治疗患者健康教育需求调查.齐齐哈尔医学院学报。2004,25(9)1095-1096.
[30]陈丽容,陈岱佳,谢德荣,等.癌症患者疾病知情权需求调查分析.南方护理学报.2004,11(12)：9-10.
[31]段月莲.癌症患者围手术期的护理需求及护理对策.长治医学院学报.2003,17(2)155-156.
[32]庞玉玲,张毅,牛素桃.颅内肿瘤患者住院不同时期健康教育需求调查.护理学报.2010,17(6B)：8-9.
[33]张艳,吴明玉,严玲,等.黄埔区499例随访肿瘤患者需求调查.中国公共卫生管理.2009,25(3)：280-282.
[34]梁佩仲,陈岱佳,谢德荣,等.化疗患者健康需求的研究.齐齐哈尔医学院学报.2006,27(13)：1625-1626.
[35]李文艳,韩迎春.化疗患者健康需求的调查及护理干预.中国医药导报.2008,5(34)：151,154.
[36]吴国华,陈素静,徐晖.肿瘤病人的健康教育需求调查分析.中国临床康复.2002,6(7)：1038-1039.
[37]张玲玲,邹红玲,陈为平,等.浅谈肿瘤患者的健康教育需求与对策.国际医药卫生导报.2004,10(20)：115-116.
[38]姚晚侠,马绥霞,李国娟,等.肿瘤放疗患者健康教育方式需求和知识掌握情况调查.中国医疗前沿.2008,3(14)：102-104.
[39]李爱芝.肿瘤病人的健康教育需求调查分析.中原医刊.2004,31(23)：45-46.
[40]孙晓静,李学芹.肿瘤患者健康教育需求调查及对策.现代临床护理.2008,7(12)：5-8.
[41]Y. BRANDBERG, B. DAMATO, T. KIVELA, et al. The EORTC ophthalmic oncology quality of life questionnaire module (EORTC QLQ-OPT30). Development and pre-testing (Phase Ⅰ-Ⅲ). EORTC Ophthalmic Oncology Task Force; EORTC Quality of Life Group.2004, Eye 18:283-289.
[42]Robert F, Devellis.Scale Development Theory and Applications.Newbury Park: SAGE Publications,1991:106.
[43]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.
[44]W.C.CHIE, C.H.YANG, C.HSU, et al.Quality of life of lung cancer patients:Validation of the Taiwan Chinese version of the EORTC QLQ-C30 and QLQ-LC13.Quality of Life Research,2004,13:257-262.
[45]ARRARAS, S.WRIGHT, E.GREIMEL, et al.Development of a questionnaire to evaluate the information needs of cancer patients:The EORTC questionnaire.Patient Educ.Couns,2004,54:235-241.
[46]闫春梅,王慧琳,范秀珍,等QLQ-BR23在我国康复期乳腺癌患者中使用的信度和效度分析.护理学杂志.2007,22(22)：53-55.
[47]杨萍,庞冬,路潜,等.乳腺癌术后病人随访期生活质量状况的调查研究.护理研 究,2009,23(5)：1150-1153.
[48]张广森.生物-心理-社会医学模式：医学整合的学术范式.医学与哲学(人文社会科学版).2009,30(9)：8-10.
[49]陈绍勤,高骥.现代医学模式下的肿瘤综合治疗.医学与哲学(临床决策论坛版).2008,29(1)：2-4.
[50]李育玲,王丽.医学模式的演进与护患关系的发展探讨.护理研究.2009,23(9)：2445-2446.
[51]Comrey AL, Factor-analytic methods of scale development in personality and clinical. Psyehology,1998;56(5):754-761.
[52]Streiner DL. Figuring out facters:The use and misuse of factor analysis.Can J Psychiatry,1994;39(3):135-140.
[53]郭志刚主编.社会统计分析方法-SPSS应用软件.第1版,北京：中国人民大学出版社,1999
[54]HoganTP, Benjamin A, Brezinski KL. Reliability methods:A note on the frequency of use of Various types. Educational and Psychological Measurement 200;60(4):523-531.
[55]漆书青,戴海崎,丁树良编著.现代教育与心理测量学原理.第1版,北京：高等教育出版社,2002.
[56]安妮.安娜斯塔西,苏珊娜。厄比纳著(缪小春,竺培梁译).心理测验.第1版,杭州：浙江教育出版社,2001
[57]吴明隆.spss统计应用实务[M].北京：科学出版社,2003,10.
[58]Patton JH, Stanford MS, Barratt ES. Factor structure of the barratt impulsiveness scale. Journal of Clinical Psychology,1995,51(6):768-744.
[59]芝枯顺(曹亦薇译).因素分析法.第1版,北京：人民教育出版社；1999
[60]Reise SP, Waller NG, Comrey AL. Factor analysis and scale revision. Psychological Assessment,2000;12(30):287-297.
[61]Floyd FJ, Widaman KF.Factor analysis in the development and refinement of clinical assessment in struments. Psychological Assessment.1995:7(3):286-299.
[62]金瑜主编.心理测量[M].第1版,上海：华东师范大学出版社,2001.
[63]郑日昌,蔡永红,周益群著.心理测量学.第1版,北京：人民教育出版社；1999.
[64]张卫东,应对量表测评维度结构研究,心理学报,2001,33(1)：55-62.
[65]黄光扬主编.教育测量与评价.第1版,上海：华东师范大学出版社,2002.
[66]徐勇勇,郝元涛.测量手段的信度和效度.方积乾主编.医学统计学与电脑实验.上海：上海科学技术出版社,2001：238-255.
[67]连社君.新型医学模式决定新型医患关系.全科护理.2009,7(3)：815-816.
[68]钟生艳,力晓蓉.现代医学模式在临床医疗活动和管理中的体现.现代医院管理.2010,1：23-24,52.
[69]郑日昌.编制心理量表须注意的几个问题.中国心理卫生杂志.2009,23(11)：761-762.
[70]Osse BH, Vernooi MJ, Vree BP, et al.Assessment of the need for palliative care as perceived by individual cancer patients and their families:a review of instruments for improving patient participation in palliative care.cancer.2001,88 (4):900-911.
[71]Hearn J, Higginson IJ.Outcome measures in palliative care for adcanced cancer patients:a review.F Public Health Med.1997,19:193-199.
[72]毕娜,黄津芳.妇科肿瘤患者的健康需求.国外医学护理学分册.2003,22(9)：401-402.
[73]付陈超,张传芳,杨静,等.2型糖尿病患者生活质量量表的修订与考评.中国现代医学杂志.2010,20(1)：60-65.
[74]黄菲菲,赵秋利,沈晓颖,等.成年人健康自我管理能力测评量表条目的初步筛选.护理学杂志.2011,26(2)：40-42.
[75]何庆勇,王阶,张允岭,等.基于患者报告的临床结局评价量表的条目筛选方法.中华中医药杂志.2011,26(1)：112-114.
[76]庚泳,肖水源,向莹.同性恋态度量表的构建及其信度、效度检验.中国临床心理学杂志.2010,18(2)：174-176.
[77]孙振球.医学统计学(第二版).人民卫生出版社.2002.
[78]Jingzeng shi,zhenqiu sun, Taisheng Tai et al. Development and Validation of a quality of life scale for Chinese Patients with Benign Prostatic Hypeprlasia.BJU Int2004;94:83-784.Mc Donough PGAmong of errer in a measure?reliability.Fertil steril,2003.80(5):1287-8.
[79]金瑜.心理测量.上海：华东师范大学出版社,2001.
[80]Hawley MP. Sources of stress for emergency nurses in four urban Canadian emergency departments Journal of Emergency Nursing,1992,18(3):211-216.
[8l]米子川著.统计软件方法.广西：巾国统计出版社,2002.226-228.
[82]邱皓政.《结构方程模式-LISREL的理论、技术与应用》.台北：双叶书廊.2005.
[83]Bagozzi R.P., Phillips L.W..Representing and testing organizational theories:A holistic construal.Administrative Science Quarterly.27:459-489.
[84]赵华,刘晓英,郭玉琳-j富症病人健康信息需求研究进展.护理研究.2006,20：1317-1318.
[85]Alan B. Astrow, Ann Wexler, Kenneth Texeira,et al。Is Failure to Meet Spiritual Needs Associated With Cancer Patients'Perceptions of Quality of Care and Their Satisfaction With Care? JOURNAL OF CLINICAL ONCOLOGY.25 (2007): 5753-5757.
[86]P. Plummer, S. Jackson, J. Konarski, et al. Making Epidemiologic Studies Responsive to the Needs of Participants and Communities:The Carolina Breast Cancer Study Experience. Environmental and Molecular Mutagenesis 39(2002):96-101
[87]N. Ernstmann, M. Neumann, O. Ommen, et al. Determinants and implications of cancer patients'psychosocial needs. Support Care Cancer (2009) 17:1417-1423.
[88]Friederike Siedentopf, Birgitt Marten-Mittag,Isabell Utz-Billing, et al. Experiences with a specific screening instrument to identify psychosocial support needs in breast cancer patients. European Journal of Obstetrics & Gynecology and Reproductive Biology,148 (2010):166-171.
[89]KAREN I. CHALMERS,KAREN A. LUKER,SAMUEL J. LEINSTER.. Information and support needs of women with primary relatives with breast cancer: development of the Information and Support Needs Questionnaire[J].Blackwell Science Ltd, Journal of Advanced Nursing,2000,35(4):497-507.
[90]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.
[91]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[92]余志华,阳世伟.乳癌患者信息需求及心理状态调查分析.护理学杂志.2005,20(4)：61-63.
[93]R.Davidson, M.E.Milis. Cancer patients'satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[94][94]I.Mesters, B.Borne,M.Boer, et al.Mersuring information needs among cancer patients. Patient Education and Counseling.43(2001):253-262.
[95]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[96]林鸣芳,赵艳玲.恶性肿瘤患者健康教育的需求特征及存在问题.解放军护理杂志.2008,25(8B)：39-40.
[97]Edward Lindop, Sue Cannon. Evaluating the self-assessed support Findings indicate that women with breast cancer receiving RT have high information needs and preference for information may not be a meaningful indicator of their desire for information.
[98]Mei-Nan Liao, Miin-Fu Chen, Shin-Cheh Chen, et al. Healthcare and support needs of women with suspected breast cancer. Journal of Advanced Nursing.60(3):289-298.
[99]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[100]M. Martin, F.Gonzalez Palacios, Javier Cortes, et al. Prognostic and predictive factors and genetic analysis of early breast cancer. Clin Transl Oncol (2009) 11:634-642.
[101]王建华.实用医学科研方法[M].北京：人民卫生出版社,2003：198—200
[102]李凌,陈立章.老年乳腺癌淋巴结转移的临床特征分析.第三军医大学学报.2010,32(14)：1503、1511.
[103]李凌,陈立章.老年乳腺癌患者的临床特征、ER、PR及CerbB-2的表达.中国老年学杂志.2010,30(22)：3265-3267.
[104]陈玉树、黄财蔚、黄芳铭译(2006) (G.M.Maruyama著)结构方程模式的基本原理.高雄：丽文.
[105]Manne S, Schnoll R.Measuring cancer Patient's psychological distress and well-being:A Factor analytic assessment of the Mental Health Inveniory. Psychological Assessment,2001:13(1):99-109.
[106]孙春辉,郑日昌.《学习适应量表》的验证性因素分析.心理学探新,2001,21(2)：59-64.
[107]Gotay CC, Blaine D, Haynes ST, et al. Assessment of quality of life in a multieultural cancer Patient population. Psychological assessment,2002; 14(4): 439-450.
[108]CoxBJ, EnnsMW, Clara IP. The multidimensional structure of perfectionism in clinically Distressed and college student samples. Psychological assessment,2002: 4(3):365-373.
[109]Henderson JW, Donatelle RJ, Aeoek AC. Confirmatory analysis of the cancer locus control scale. Educational and Psychological measurement,2002:62(6):995-1005.
[110]余祖新、李宝兴.2318例乳腺癌分布特征分析.中国初级卫生保健.16(2002),10：47-48.
[111]李其龙、马新源、姚开颜,等.嘉善县1987-2000年女性乳腺癌发病趋势分析.浙江预防医学.15(2003),4：4-7.
[112]包晓梅、马建新、王立英,等.包头市2002-2003年女性乳腺癌病例特征分析.包头医学院学报.20(2004),2：104-107.
[113]张琳,林红.153例乳腺癌临床分析.岭南现代临床外科.2006(6),8：257-278.
[114]刘新梅,张晨芳,赵国栋,等.老年女性乳腺癌89例分析121中国老年学杂志,2008；128(2)：2368-9.
[115]韦达,秦建伟,俞乔,等.青年和老年乳腺癌的比较研究121南京医科大学学报,2007；27(9)：1045-7.
[116]姜节卫、夏海英.癌症患者疾病相关信息需求的调查研究.上海护理.2009,9(2)：12-14.
[117]余惠兰,陈蕾.乳腺癌术后化疗健康教育需求调查及护理干预.齐鲁护理杂志.2009,15(5)：52-53.
[118]D. E. Harrison, S. Galloway, J. E. Graydon, et al. Information needs and preference for information of women with breast cancer over a first course of radiation therapy. Patient Education and Counseling,38 (1999):217-225.
[119]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[120]S. Nikoletti, L. J. Kristjanson, D. Tataryn, et al. Information Needs and Coping Styles of Primary Family Caregivers of Women Following Breast Cancer Surgery. ONCOLOGY NURSING FORUM-VOL 30, NO 6,2003:987-996.
[121]刘丽华,李桂蓉,陈华,等.乳腺切除术后病人全面康复认知与需求调查分析.家庭护士.2008,6(8)：2171-2173.
[122]徐影芳,胡巧云.肿瘤患者健康教育需求综合分析.中国肿瘤.2004,14(7)：416-418.
[123]孙晓静,李学芹.肿瘤患者健康教育需求调查及对策.现代临床护理.2008,7(12)：5-8.
[124]张爱风,陆秀珍,任桂花,等.肿瘤患者对信息的需求.华北煤炭医学院学报.2002,4(3)：357.
[125]黄艳,王海珍,,谢亚君.等.乳腺癌患者信息需求研究进展.护理学杂志.2010,25(14)：96-97.
[126]赵小平,黄秋环,黄艳青,等.癌症患者心理需求及现状调查分析.右江医学.2008,36(5)：568-570.
[127]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[128]柳红霞,赵玉荣.乳腺癌病人围术期健康教育需求调查.全科护理.2009,7(10)：2716-2717.
[129]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[130]吴国华,陈素静,徐晖,等.肿瘤病人的健康教育需求调查分析.中国临床康复.2002,6(7)：1038-1039.
[131]虞玲丽,延国娇.乳腺癌化疗患者健康教育需求探讨.中国现代医学杂志.2005,15(12)1875-1879.
[132]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[133]董瑞华,李福洪,王立英,等.乳腺癌患者的生活质量与知识需求之间的关系的研究.中国医疗前沿.2008.3(23)：19-20.
[134]赵慧华,颜美琼.乳腺癌患者手术后健康教育需求的调查.上海护理理.2003,3(4)：5-7.
[135]单玉香,谢亚君,王海珍,等.初诊乳腺癌住院患者健康信息需求的研究.解放军护理杂志.2010,27(9B)：1387-1388、1432.
[136]郭桂芳,肖菊青.乳腺癌手术后患者婚姻质量调查[J].中华护理杂志,2001,4(4)：261.
[137]林慧,刘孟丽,付斌.乳腺癌患者术后自我形象紊乱与重建需求调查及护理干预.护理学报.2007,14(6)：23-24.
[138]Ke-Da Yu, Jun-Jie Li., Gen-Hong Di.et al. A Straightforward but Not Piecewise Relationship between Age and Lymph Node Status in Chinese Breast Cancer Patients. PLoS One.2010 Jun 9;5(6):e11035.
[139]Neeraj K. Arora, Lila J. Finney Rutten, David H. Gustafson, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology 16(2007):474-486.
[140]Cowan C., Hoskins R. Information preferences of women receiving chemotherapy for breast cancer. European Journal of Cancer Care,16:543-550.
[141]Reiko Makabe, Tadashi Nomizu. Social Support and Psychological and Physical States Among Japanese Women With Breast Cancer Before and After Breast Surgery. Oncology forum,34(2007):883-889.
[142]胡碧云,钟慧萍.癌症放射治疗患者健康教育需求调查.齐齐哈尔医学院学报.2004,25(9)：1095-1096.
[143]林小玲,黄伟平.乳腺癌放疗患者对健康教育需求调查及对策.实用医技杂志.2005,12(6A)：1524-1525.
[144]张毅,黎玉梅,林鸣,等.肿瘤患者确诊时信息需求的调查分析.实用护理杂志.2003,19(8)：73.
[145]C.Koopman, K. Angell, J. M. Turner-Cobb, et al. Distress, Coping, and Social Support Among Rural Women Recently Diagnosed with Primary Breast Cancer. The Breast Journal,7(2001):25-33.
[146]Stein Kaasa, Jon Havard Loge, Peter Fayers,et al。 Symptom Assessment in Palliative Care:A Need for International Collaboration. Journal of Clinical Oncology.26(2008):3867-3873.
[147]Pam M., Carla P., Patsy Y., et al. A studu of postdiagnosis breast cancer concerns for women living in rural and remote Queensland. Part Ⅱ:support issues. Aust. J. Rural Health.7(1999):43-52.
[148]王贵桃.癌症病人健康教育需求与对策.内蒙古医学杂志.2007,39(7)：890-892.
[149]常春霞,白波,郝冬梅.癌症患者健康教育需求与对策.现代护理.2009,6(5)：94-95
[150]梁桂菊,李士娥,单淑芹.住院放疗患者健康教育需求调查.中国健康教育.2004,20(7)：642-643.
[151]梁佩仲,陈岱佳,谢德荣,等.齐齐哈尔医学院学报.2006,27(13)：1625-1626.
[152]裴艳,黄欧,方琼.国内乳腺癌病人需求的研究现状分析.外科理论与实践.2010,15(5)：557-559.
[153]徐云轩,吴大兴,徐远超,等。内外向与神经质在大学生乐观-悲观倾向与抑郁关系的中介作用。中国临床心理学杂志.2011,19(1)：116-118.
[154]李鹏,蔡丽,崔壮,等。天津市某三甲医院阑尾炎患者住院费用影响因素的结构方程模型分析。中国卫生统计.20011,28(2)：161-164.
[1]Davide Radice, Alberto Redaelli. Breast Cancer Management Quality-of-Life and Cost Considerations. Pharmacoeconomics 2003; 21 (6):383-396.
[2]Mary A. Hooks. Breast Cancer:Risk Assessment and Prevention. South Med J. 2010 Apr;103(4):333-8.
[3]Anderson BO, Yip CH, Smith RA, Shyyan R, Sener SF, Eniu A, et al. Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the breast health global initiative global summit 2007. Cancer 2008;113(8 Suppl.:2221-43.
[4]Porter P. "Westernizing" women's risks? Breast cancer in lower-income countries. N Engl J Med 2008;358:213-6.
[5]方亚,胡海兰.女性乳腺癌危险因素及其变化[J].中国卫生统计,2009,26(3)：241-246.
[6]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析.现代预防医学.2011,38(3)：468-469.
[7]段学葵,罗志勇.乳腺癌的社区干预与综合防控.中国慢性病预防与控制.2011,19(1)：106-108.
[8]潘秀丹,王慧文,李洵.沈阳市乳腺癌流行病学分析.现代预防医学.2008,35(1)：22-23、26.
[9]赵惠利.郑州市2003～2007年女性乳腺癌发病分析.医药论坛杂志.2008,29(10)：40-41.
[10]许红,毛德强,王燕.重庆市女性肿瘤发病率及年龄特征分析.重庆医学.2010,39(11)：1422-1423、1447.
[11]张馨遥.健康信息需求研究的内容与意义.医学与社会.2010,23(1)：51-53.
[12]Juan Ignacio Arraras, Stephen Wright, Eva Greimel, et al. Development of a ques tionnaire to evaluate the information needs of cancer patients:the EORTC questionnaire. Patient Education and Counseling,54(2004):235-241.
[13]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.
[14]郝莉.马斯洛的需要层次论与组织激励. 科技资讯,2006,3(26)：152-152.
[15]胡亚英,朱青萍等.护士工作满意度相关因素分析.齐鲁护理杂志,2003,9(10)：730-731.
[16]张素华.马斯洛需要层次理论在乳腺癌患者中的应用与护理.齐鲁护理杂 志.2010,16(12)：73-74.
[17]郑燕,徐娟.需要层次理论在癌症患者心理护理中的应用.中国民康医学.2010,22(22)：2920,2985.
[18][18]王衍,李念念.论马斯洛需要层次理论在构建和谐医患关系中的应用.现代医院管理.2008,5：1-3.
[19]苏增罗,李彦州.需要层次理论在乳腺癌心理护理中的应用.护理实践与研究.2008,5(8)：19-20.
[20]何洁丽.需要层次理论在临床护理工作中的应用.现代护理,2008,5(32)：126-127.
[21]余赵娜.运用需要层次理论改进“以病人为中心”的医疗服务.中国医学论理学.2005,18(5)：86-87.
[22]连社君.新型医学模式决定新型医患关系.全科护理.2009,7(3)：815-816.
[23]钟生艳,力晓蓉.现代医学模式在临床医疗活动和管理中的体现.现代医院管理.2010,1：23-24,52.
[24]Galloway S., Graydon J., Harrison D., et al. informational needs of women with a recent diagnosis of breast cancer:development and initial testing of a tool. Journal of advanced nursing,25(1997):1175-1183.
[25]Charlotte E., Peter A.Bath.1 The psychometric properties of the Miller Behavioral Style Scale with adult daughters of women with early breast cancer:a literature review and empirical study. Journal of Advanced Nursing,2000,32(2),366-374.
[26]Degner LF, Davison BJ, Sloan JA, Mueller B. Development of a scale to measure information needs in cancer care. J Nurs Meas 1998;6:137-53.
[27]Cassileth BR, Zupkis RV, Sutton-Smith K, March V. Information and participation preferences among cancer patients. Ann Intern Med 1980;92:832-6.
[28]Derdiarian AK. Effects of information on recently diagnosed cancer patients'and spouses'satisfaction with care. Cancer Nurs 1989; 12:285-92.
[29]Bonevski B, Sanson-Fisher R, Girgis A, Burton L, Cook P, Boyes A. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-25.
[30]L.L.Dubenske, E.B.Beckjord, R.P.Hawkins, et al. Psychometric Evaluation of the Health Information Orientation Scale:A Brief Measure for Assessing Health Information Engagement and Apprehension. Journal of Health Psychology. Vol 14(6)721-730.
[31]K. Hodgkinson, P. Butow, G. E. Hunt, et al。The development and evaluation of a measure to assess cancer survivors'unmet supportive care needs:The CaSUN (Cancer Survivors'Unmet Needs measure).Psycho-Oncology 16(2007):796-804.
[32]Eva Grunfeld, Amy Folkes, Robin Urquharto Do Available Questionnaires Measure the Communication Factors That Patients and Families Consider Important at End of Life? Journal of Clinical Oncology,26 (23):3874-3878.
[33]T Cossich, P Schofield,S A McLachlan.Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting.Qual Life Res.2004, 13(7):1225-33.
[34]Edward Lindop, Sue Cannon. Evaluating the self-assessed support needs of women with breast cancer. Journal of Advanced Nursing,34(6),760-771.
[35]Allison Boyes, Afaf Girgis, Christophe. Brief assessment of adult cancer patients' perceived needs:development and validation of the 34-item supportive care needs survey(SCNS-SF34). Journal of evaluation in clinical practice.15(2009):602-606.
[36]Toru Okuyama, Tatsuo Akechi, Hiroko Yamashita, et al. Reliability and validity of the Japanese version of the Short-form Supportive Care Needs Survey Questionnaire (SCNS-SF34-J) Psycho-Oncology 18(2009):1003-1010.
[37]A. Fagerlin, I.Lakhani, P. M. Lantz, An informed decision?Breast cancer patients and their knowledge about treatment. Patient Education and Counseling 64 (2006) 303-312.
[38]G. N.L. J. Polacek, M. C. Ramos, R. L. Ferrer. Breast cancer disparities and decision-making among U.S. women. Patient Education and Counseling,65 (2007):158-165.
[39]Alan B. Astrow, Ann Wexler, Kenneth Texeira,et al。Is Failure to Meet Spiritual Needs Associated With Cancer Patients'Perceptions of Quality of Care and Their Satisfaction With Care? JOURNAL OF CLINICAL ONCOLOGY.25 (2007): 5753-5757.
[40]P. Plummer, S. Jackson, J. Konarski, et al. Making Epidemiologic Studies Responsive to the Needs of Participants and Communities:The Carolina Breast Cancer Study Experience. Environmental and Molecular Mutagenesis 39(2002):96-101
[41]I.Mesters, B.Borne,M.Boer, et al.Mersuring information needs among cancer patients. Patient Education and Counseling.43(2001):253-262.
[42]N. Ernstmann, M. Neumann, O. Ommen, et al. Determinants and implications of cancer patients'psychosocial needs. Support Care Cancer (2009) 17:1417-1423.
[43]Friederike Siedentopf, Birgitt Marten-Mittag,Isabell Utz-Billing, et al. Experiences with a specific screening instrument to identify psychosocial support needs in breast cancer patients. European Journal of Obstetrics & Gynecology and Reproductive Biology,148 (2010):166-171.
[44]29. Bonevski B, Sanson-Fisher R, Girgis A et al. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-225.
[45]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[46][46] KAREN I. CHALMERS,KAREN A. LUKER,SAMUEL J. LEINSTER., Information and support needs of women with primary relatives with breast cancer: development of the Information and Support Needs Questionnaire[J].Blackwell Science Ltd, Journal of Advanced Nursing,2000,35(4):497-507.
[47]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.)
[48]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[49]Whelan TJ, Mohide EA, Willan AR, Arnold A, Tew M, Sellick S, et al. The supportive care needs of newly diagnosed cancer patients attending a regional cancer center. Cancer 1997;80:1518-24.
[50]Charles K, Sellick SM, Montesanto B, Mohide EA. Priorities of cancer survivors regarding psychosocial needs. J Psychosoc Oncol 1996; 14:57-72.
[51]Osuna E, Perez-Carceles MD, Esteban MA, Luna A. The right to information for the terminally ill patient. J Med Ethics 1998;24:106-9.
[52]Jarema A. Patient's feedback to disclosure of cancer diagnosis. Psychiatria-Danubina 1996;8:19-27.
[53]Harrison DE, Galloway S, Graydon JE, Palmer-Wickham S, Rich-van der Bij L. Information needs and preference for information of women with breast cancer over a first course of radiotherapy. Patient Educ Couns 1999;38:217-25.
[54]Hack TF, Degner LF, Dyck DG. Relationship between preferences for decisional control and illness information among women with breast cancer:a quantitative and qualitative analysis. Soc Sci Med 1994;39:279-89.
[55]王清,廖秋雄,梁巧莹,等.湛江市妇女对乳腺疾病的健康教育需求.现代医院.2009,9(8)：156-157.
[56]李娅莉,朱跃虎.社区妇女对乳腺疾病知识健康教育需求调查.中国妇幼保健.2008,23(21)：2932-2934.
[57]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—《癌症患者信息选择问卷》 的编制与评估.中国心理卫生杂志.2003,17(11)：750—753.
[58]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—病人、亲属、医护人员观点比较.中国心理卫生杂志.2003,17(11)：757-759,773.
[59]付菊芳,黄颖,白燕妮,等.96例晚期癌症病人需求评估研究.护理研究.2006,20(7)：1717-1720.张英敏.晚期癌症病人需求的分析与护理体会.天津护理.2008,16(2)：81-82
[60]Richard Fielding. Wendy W.T. Lam. Measuring Social Impacts of Breast Carcinoma Treatment in Chinese Women:The Chinese Social Adjustment Scale.cancer.100(2004):2500-2511.
[6l]姜节卫,夏海英.癌症患者疾病相关信息需求的调查研究.上海护理.2009,9(2)：12-14.
[62]傅碧绿.康复期癌症患者心理状况及相关需求调查分析.现代医院.2010,10(9)：81-83.陈妙庄.对337例癌症患者体检中的相关需求调查分析.当代护理,2007,9：54-56.
[63]余惠兰,陈蕾.乳腺癌术后化疗健康教育需求调查及护理干预.齐鲁护理杂志.2009,15(5)：52-53.
[64]虞玲丽、延国娇.乳腺癌化疗患者健康教育需求探讨.中国现代医学杂志.2005,15(12)：1875-1879.
[65]刘丽华,李桂蓉,陈华,等.乳腺切除术后病人全面康复认知与需求调查分析.家庭护士.2008,6(8)：2171-2173.
[66]柳红,赵玉荣.乳腺癌病人围术期健康教育需求调查.全科护理.2009,7(10)：2716-2717.
[67]林小玲,黄伟平.乳腺癌放疗患者对健康教育需求调查及对策.实用医技杂志.2005,12(6)：1524-1525.
[68]黄晓兰,洪春荣,王晶,等.上海市长宁区乳腺癌患者相关知识、行为及需求调查.中国健康教育.2009,25(9)：714-715.
[69]余志华,阳世伟.乳癌患者信息需求及心理状态调查分析.护理学杂志.2005,20(4)：61-63.
[70][70]R.Davidson, M.E.Milis. Cancer patients'satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[71]林鸣芳,赵艳玲.恶性肿瘤患者健康教育的需求特征及存在问题.解放军护理杂志.2008,25(8B)：39-40.
[72]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[73]Mei-Nan Liao, Miin-Fu Chen, Shin-Cheh Chen, et al. Healthcare and support needs of women with suspected breast cancer. Journal of Advanced Nursing.60(3): 289-298.
[74]S. Nikoletti, L. J. Kristjanson, D. Tataryn, et al. Information Needs and Coping Styles of Primary Family Caregivers of Women Following Breast Cancer Surgery. ONCOLOGY NURSING FORUM-VOL 30, NO 6,2003:987-996.
[75]D. E. Harrison, S. Galloway, J. E. Graydon, et al. Information needs and preference for information of women with breast cancer over a first course of radiation therapy. Patient Education and Counseling,38 (1999):217-225.
[76]Neeraj K. Arora, Lila J. Finney Rutten, David H. Gustafson, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology 16(2007):474-486.
[77]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[78]Jung-won Lim, Jaehee Yi. The Effects of Religiosity, pirituality, and Social Support on Quality of Life:A Comparison Between Korean American and Korean Breast and Gynecologic Cancer Survivors. Oncology Nursing Forum.36(2009),6:699-708.
[79]Maggi Banning, Haroon Hafeez, Saima Faisal, et al.The Impact of Culture and Sociological and Psychological Issues on Muslim Patients With Breast Cancer in Pakistan. Cancer Nursing,32(2009):317-324.
[80]Renee Royak-Schaler, Susan Racine Passmore, Shahinaz Gadalla, et al. Communication in Breast Cancer Care for African American Women Following Primary Treatment.oncology nursing forum.35(2008):836-844.
[81]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[82]R.Davidson, M.E.Milis. Cancer patients' satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[83]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[84]T. Taskila, M.-L. Lindbohm, R. Martikainen, et al. Cancer survivors'received and needed social support from their work place and the occupational health services. Support Care Cancer (2006) 14:427-435.
[85]Ke-Da Yul,2., Jun-Jie Lil,2., Gen-Hong Di.et al. A Straightforward but Not Piecewise Relationship between Age and Lymph Node Status in Chinese Breast Cancer Patients. PLoS One.2010 Jun 9;5(6):e11035.
[86]M. Martin, F.Gonzalez Palacios, Javier Cortes, et al. Prognostic and predictive factors and genetic analysis of early breast cancer. Clin Transl Oncol (2009) 11:634-642.
[87]Pam M., Carla P., Patsy Y., et al. A studu of postdiagnosis breast cancer concerns for women living in rural and remote Queensland. Part Ⅱ:support issues. Aust. J. Rural Health.7(1999):43-52.
[88]Cowan C., Hoskins R. Information preferences of women receiving chemotherapy for breast cancer. European Journal of Cancer Care,16:543-550.
[89]Reiko Makabe, Tadashi Nomizu. Social Support and Psychological and Physical States Among Japanese Women With Breast Cancer Before and After Breast Surgery. Oncology forum,34(2007):883-889.
[90].Koopman, K. Angell, J. M. Turner-Cobb, et al. Distress, Coping, and Social Support Among Rural Women Recently Diagnosed with Primary Breast Cancer. The Breast Journal,7(2001):25-33.
[91]Stein Kaasa, Jon Havard Loge, Peter Fayers,et al。Symptom Assessment in Palliative Care:A Need for International Collaboration. Journal of Clinical Oncology.26(2008):3867-3873.
[92]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.
[2]Mary A. Hooks. Breast Cancer:Risk Assessment and Prevention. South Med J.2010 Apr;103(4):333-8.)
[3]Anderson BO, Yip CH, Smith RA, Shyyan R, Sener SF, Eniu A, et al. Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the breast health global initiative global summit 2007. Cancer 2008;113(8 Suppl.):2221-43.
[4]Porter P. "Westernizing" women's risks? Breast cancer in lower-income countries. N Engl J Med 2008;358:213-6.
[5]方亚,胡海兰.女性乳腺癌危险因素及其变化.中国卫生统计,2009,26(3)：241-246.
[6]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析.现代预防医学.2011,38(3)：468-469.
[7]段学葵,罗志勇.乳腺癌的社区干预与综合防控.中国慢性病预防与控制.2011,19(1)：106-108.
[8]潘秀丹,王慧文,李洵.沈阳市乳腺癌流行病学分析.现代预防医学.2008,35(1)：22-23、26.
[9]赵惠利.郑州市2003～2007年女性乳腺癌发病分析.医药论坛杂志.2008,29(10)：40-41.
[10]许红,毛德强,王燕.重庆市女性肿瘤发病率及年龄特征分析.重庆医学.2010,39(11)：1422-1423、1447.
[11]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.)。
[12]张馨遥.健康信息需求研究的内容与意义.医学与社会.2010,23(1)：51-53.
[13]Juan Ignacio Arraras, Stephen Wright, Eva Greimel, et al. Development of a questionnaire to evaluate the information needs of cancer patients:the EORTC questionnaire. Patient Education and Counseling,54 (2004):235-241.
[14]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[15]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.
[16]Allison Boyes, Afaf Girgis, Christophe. Brief assessment of adult cancer patients' perceived needs:development and validation of the 34-item supportive care needs survey(SCNS-SF34). Journal of evaluation in clinical practice.15(2009):602-606.
[17]Bonevski B, San son-Fisher R, Girgis A et al. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-225.
[18]Galloway S., Graydon J., Harrison D., et al. informational needs of women with a recent diagnosis of breast cancer:development and initial testing of a tool. Journal of advanced nursing,25(1997):1175-1183.
[19]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[20]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—《癌症患者信息选择问卷》的编制与评估.中国心理卫生杂志.2003,17(11)：750-753.
[21]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—病人、亲属、医护人员观点比较.中国心理卫生杂志.2003,17(11)：757-759,773.
[22]付菊芳,黄颖,白燕妮,等.96例晚期癌症病人需求评估研究.护理研究.2006,20(7)：1717-1720.
[23]张英敏.晚期癌症病人需求的分析与护理体会.天津护理.2008,16(2)：81-82.
[24]杨洪菊,徐凌中,陈长奇,等.住院病人护理需求调查表的研制.护理研究.2008,22(5)：1211-1213.
[25]杨洪菊,牛铭芸,沈传侠,等.住院病人护理需求的影响因素分析.泰山医学院学报.604-608.
[26]Richard Fielding. Wendy W.T. Lam. Measuring Social Impacts of Breast Carcinoma Treatment in Chinese Women:The Chinese Social Adjustment Scale.cancer.100(2004):2500-2511.
[27]刘敏,张任,苏丽娟.85例膀胱肿瘤患者围手术期健康知识需求与分析.齐齐哈尔医学院学报.2008,29(20)：2525-2526.
[28]冯雨莲.癌症患者及其家属心理因素及心理需求探讨.中国保健医学导报.2006,16(20)：50-51.
[29]胡碧云,钟慧萍.癌症放摄治疗患者健康教育需求调查.齐齐哈尔医学院学报。2004,25(9)1095-1096.
[30]陈丽容,陈岱佳,谢德荣,等.癌症患者疾病知情权需求调查分析.南方护理学报.2004,11(12)：9-10.
[31]段月莲.癌症患者围手术期的护理需求及护理对策.长治医学院学报.2003,17(2)155-156.
[32]庞玉玲,张毅,牛素桃.颅内肿瘤患者住院不同时期健康教育需求调查.护理学报.2010,17(6B)：8-9.
[33]张艳,吴明玉,严玲,等.黄埔区499例随访肿瘤患者需求调查.中国公共卫生管理.2009,25(3)：280-282.
[34]梁佩仲,陈岱佳,谢德荣,等.化疗患者健康需求的研究.齐齐哈尔医学院学报.2006,27(13)：1625-1626.
[35]李文艳,韩迎春.化疗患者健康需求的调查及护理干预.中国医药导报.2008,5(34)：151,154.
[36]吴国华,陈素静,徐晖.肿瘤病人的健康教育需求调查分析.中国临床康复.2002,6(7)：1038-1039.
[37]张玲玲,邹红玲,陈为平,等.浅谈肿瘤患者的健康教育需求与对策.国际医药卫生导报.2004,10(20)：115-116.
[38]姚晚侠,马绥霞,李国娟,等.肿瘤放疗患者健康教育方式需求和知识掌握情况调查.中国医疗前沿.2008,3(14)：102-104.
[39]李爱芝.肿瘤病人的健康教育需求调查分析.中原医刊.2004,31(23)：45-46.
[40]孙晓静,李学芹.肿瘤患者健康教育需求调查及对策.现代临床护理.2008,7(12)：5-8.
[41]Y. BRANDBERG, B. DAMATO, T. KIVELA, et al. The EORTC ophthalmic oncology quality of life questionnaire module (EORTC QLQ-OPT30). Development and pre-testing (Phase Ⅰ-Ⅲ). EORTC Ophthalmic Oncology Task Force; EORTC Quality of Life Group.2004, Eye 18:283-289.
[42]Robert F, Devellis.Scale Development Theory and Applications.Newbury Park: SAGE Publications,1991:106.
[43]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.
[44]W.C.CHIE, C.H.YANG, C.HSU, et al.Quality of life of lung cancer patients:Validation of the Taiwan Chinese version of the EORTC QLQ-C30 and QLQ-LC13.Quality of Life Research,2004,13:257-262.
[45]ARRARAS, S.WRIGHT, E.GREIMEL, et al.Development of a questionnaire to evaluate the information needs of cancer patients:The EORTC questionnaire.Patient Educ.Couns,2004,54:235-241.
[46]闫春梅,王慧琳,范秀珍,等QLQ-BR23在我国康复期乳腺癌患者中使用的信度和效度分析.护理学杂志.2007,22(22)：53-55.
[47]杨萍,庞冬,路潜,等.乳腺癌术后病人随访期生活质量状况的调查研究.护理研 究,2009,23(5)：1150-1153.
[48]张广森.生物-心理-社会医学模式：医学整合的学术范式.医学与哲学(人文社会科学版).2009,30(9)：8-10.
[49]陈绍勤,高骥.现代医学模式下的肿瘤综合治疗.医学与哲学(临床决策论坛版).2008,29(1)：2-4.
[50]李育玲,王丽.医学模式的演进与护患关系的发展探讨.护理研究.2009,23(9)：2445-2446.
[51]Comrey AL, Factor-analytic methods of scale development in personality and clinical. Psyehology,1998;56(5):754-761.
[52]Streiner DL. Figuring out facters:The use and misuse of factor analysis.Can J Psychiatry,1994;39(3):135-140.
[53]郭志刚主编.社会统计分析方法-SPSS应用软件.第1版,北京：中国人民大学出版社,1999
[54]HoganTP, Benjamin A, Brezinski KL. Reliability methods:A note on the frequency of use of Various types. Educational and Psychological Measurement 200;60(4):523-531.
[55]漆书青,戴海崎,丁树良编著.现代教育与心理测量学原理.第1版,北京：高等教育出版社,2002.
[56]安妮.安娜斯塔西,苏珊娜。厄比纳著(缪小春,竺培梁译).心理测验.第1版,杭州：浙江教育出版社,2001
[57]吴明隆.spss统计应用实务[M].北京：科学出版社,2003,10.
[58]Patton JH, Stanford MS, Barratt ES. Factor structure of the barratt impulsiveness scale. Journal of Clinical Psychology,1995,51(6):768-744.
[59]芝枯顺(曹亦薇译).因素分析法.第1版,北京：人民教育出版社；1999
[60]Reise SP, Waller NG, Comrey AL. Factor analysis and scale revision. Psychological Assessment,2000;12(30):287-297.
[61]Floyd FJ, Widaman KF.Factor analysis in the development and refinement of clinical assessment in struments. Psychological Assessment.1995:7(3):286-299.
[62]金瑜主编.心理测量[M].第1版,上海：华东师范大学出版社,2001.
[63]郑日昌,蔡永红,周益群著.心理测量学.第1版,北京：人民教育出版社；1999.
[64]张卫东,应对量表测评维度结构研究,心理学报,2001,33(1)：55-62.
[65]黄光扬主编.教育测量与评价.第1版,上海：华东师范大学出版社,2002.
[66]徐勇勇,郝元涛.测量手段的信度和效度.方积乾主编.医学统计学与电脑实验.上海：上海科学技术出版社,2001：238-255.
[67]连社君.新型医学模式决定新型医患关系.全科护理.2009,7(3)：815-816.
[68]钟生艳,力晓蓉.现代医学模式在临床医疗活动和管理中的体现.现代医院管理.2010,1：23-24,52.
[69]郑日昌.编制心理量表须注意的几个问题.中国心理卫生杂志.2009,23(11)：761-762.
[70]Osse BH, Vernooi MJ, Vree BP, et al.Assessment of the need for palliative care as perceived by individual cancer patients and their families:a review of instruments for improving patient participation in palliative care.cancer.2001,88 (4):900-911.
[71]Hearn J, Higginson IJ.Outcome measures in palliative care for adcanced cancer patients:a review.F Public Health Med.1997,19:193-199.
[72]毕娜,黄津芳.妇科肿瘤患者的健康需求.国外医学护理学分册.2003,22(9)：401-402.
[73]付陈超,张传芳,杨静,等.2型糖尿病患者生活质量量表的修订与考评.中国现代医学杂志.2010,20(1)：60-65.
[74]黄菲菲,赵秋利,沈晓颖,等.成年人健康自我管理能力测评量表条目的初步筛选.护理学杂志.2011,26(2)：40-42.
[75]何庆勇,王阶,张允岭,等.基于患者报告的临床结局评价量表的条目筛选方法.中华中医药杂志.2011,26(1)：112-114.
[76]庚泳,肖水源,向莹.同性恋态度量表的构建及其信度、效度检验.中国临床心理学杂志.2010,18(2)：174-176.
[77]孙振球.医学统计学(第二版).人民卫生出版社.2002.
[78]Jingzeng shi,zhenqiu sun, Taisheng Tai et al. Development and Validation of a quality of life scale for Chinese Patients with Benign Prostatic Hypeprlasia.BJU Int2004;94:83-784.Mc Donough PGAmong of errer in a measure?reliability.Fertil steril,2003.80(5):1287-8.
[79]金瑜.心理测量.上海：华东师范大学出版社,2001.
[80]Hawley MP. Sources of stress for emergency nurses in four urban Canadian emergency departments Journal of Emergency Nursing,1992,18(3):211-216.
[8l]米子川著.统计软件方法.广西：巾国统计出版社,2002.226-228.
[82]邱皓政.《结构方程模式-LISREL的理论、技术与应用》.台北：双叶书廊.2005.
[83]Bagozzi R.P., Phillips L.W..Representing and testing organizational theories:A holistic construal.Administrative Science Quarterly.27:459-489.
[84]赵华,刘晓英,郭玉琳-j富症病人健康信息需求研究进展.护理研究.2006,20：1317-1318.
[85]Alan B. Astrow, Ann Wexler, Kenneth Texeira,et al。Is Failure to Meet Spiritual Needs Associated With Cancer Patients'Perceptions of Quality of Care and Their Satisfaction With Care? JOURNAL OF CLINICAL ONCOLOGY.25 (2007): 5753-5757.
[86]P. Plummer, S. Jackson, J. Konarski, et al. Making Epidemiologic Studies Responsive to the Needs of Participants and Communities:The Carolina Breast Cancer Study Experience. Environmental and Molecular Mutagenesis 39(2002):96-101
[87]N. Ernstmann, M. Neumann, O. Ommen, et al. Determinants and implications of cancer patients'psychosocial needs. Support Care Cancer (2009) 17:1417-1423.
[88]Friederike Siedentopf, Birgitt Marten-Mittag,Isabell Utz-Billing, et al. Experiences with a specific screening instrument to identify psychosocial support needs in breast cancer patients. European Journal of Obstetrics & Gynecology and Reproductive Biology,148 (2010):166-171.
[89]KAREN I. CHALMERS,KAREN A. LUKER,SAMUEL J. LEINSTER.. Information and support needs of women with primary relatives with breast cancer: development of the Information and Support Needs Questionnaire[J].Blackwell Science Ltd, Journal of Advanced Nursing,2000,35(4):497-507.
[90]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.
[91]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[92]余志华,阳世伟.乳癌患者信息需求及心理状态调查分析.护理学杂志.2005,20(4)：61-63.
[93]R.Davidson, M.E.Milis. Cancer patients'satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[94][94]I.Mesters, B.Borne,M.Boer, et al.Mersuring information needs among cancer patients. Patient Education and Counseling.43(2001):253-262.
[95]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[96]林鸣芳,赵艳玲.恶性肿瘤患者健康教育的需求特征及存在问题.解放军护理杂志.2008,25(8B)：39-40.
[97]Edward Lindop, Sue Cannon. Evaluating the self-assessed support Findings indicate that women with breast cancer receiving RT have high information needs and preference for information may not be a meaningful indicator of their desire for information.
[98]Mei-Nan Liao, Miin-Fu Chen, Shin-Cheh Chen, et al. Healthcare and support needs of women with suspected breast cancer. Journal of Advanced Nursing.60(3):289-298.
[99]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[100]M. Martin, F.Gonzalez Palacios, Javier Cortes, et al. Prognostic and predictive factors and genetic analysis of early breast cancer. Clin Transl Oncol (2009) 11:634-642.
[101]王建华.实用医学科研方法[M].北京：人民卫生出版社,2003：198—200
[102]李凌,陈立章.老年乳腺癌淋巴结转移的临床特征分析.第三军医大学学报.2010,32(14)：1503、1511.
[103]李凌,陈立章.老年乳腺癌患者的临床特征、ER、PR及CerbB-2的表达.中国老年学杂志.2010,30(22)：3265-3267.
[104]陈玉树、黄财蔚、黄芳铭译(2006) (G.M.Maruyama著)结构方程模式的基本原理.高雄：丽文.
[105]Manne S, Schnoll R.Measuring cancer Patient's psychological distress and well-being:A Factor analytic assessment of the Mental Health Inveniory. Psychological Assessment,2001:13(1):99-109.
[106]孙春辉,郑日昌.《学习适应量表》的验证性因素分析.心理学探新,2001,21(2)：59-64.
[107]Gotay CC, Blaine D, Haynes ST, et al. Assessment of quality of life in a multieultural cancer Patient population. Psychological assessment,2002; 14(4): 439-450.
[108]CoxBJ, EnnsMW, Clara IP. The multidimensional structure of perfectionism in clinically Distressed and college student samples. Psychological assessment,2002: 4(3):365-373.
[109]Henderson JW, Donatelle RJ, Aeoek AC. Confirmatory analysis of the cancer locus control scale. Educational and Psychological measurement,2002:62(6):995-1005.
[110]余祖新、李宝兴.2318例乳腺癌分布特征分析.中国初级卫生保健.16(2002),10：47-48.
[111]李其龙、马新源、姚开颜,等.嘉善县1987-2000年女性乳腺癌发病趋势分析.浙江预防医学.15(2003),4：4-7.
[112]包晓梅、马建新、王立英,等.包头市2002-2003年女性乳腺癌病例特征分析.包头医学院学报.20(2004),2：104-107.
[113]张琳,林红.153例乳腺癌临床分析.岭南现代临床外科.2006(6),8：257-278.
[114]刘新梅,张晨芳,赵国栋,等.老年女性乳腺癌89例分析121中国老年学杂志,2008；128(2)：2368-9.
[115]韦达,秦建伟,俞乔,等.青年和老年乳腺癌的比较研究121南京医科大学学报,2007；27(9)：1045-7.
[116]姜节卫、夏海英.癌症患者疾病相关信息需求的调查研究.上海护理.2009,9(2)：12-14.
[117]余惠兰,陈蕾.乳腺癌术后化疗健康教育需求调查及护理干预.齐鲁护理杂志.2009,15(5)：52-53.
[118]D. E. Harrison, S. Galloway, J. E. Graydon, et al. Information needs and preference for information of women with breast cancer over a first course of radiation therapy. Patient Education and Counseling,38 (1999):217-225.
[119]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[120]S. Nikoletti, L. J. Kristjanson, D. Tataryn, et al. Information Needs and Coping Styles of Primary Family Caregivers of Women Following Breast Cancer Surgery. ONCOLOGY NURSING FORUM-VOL 30, NO 6,2003:987-996.
[121]刘丽华,李桂蓉,陈华,等.乳腺切除术后病人全面康复认知与需求调查分析.家庭护士.2008,6(8)：2171-2173.
[122]徐影芳,胡巧云.肿瘤患者健康教育需求综合分析.中国肿瘤.2004,14(7)：416-418.
[123]孙晓静,李学芹.肿瘤患者健康教育需求调查及对策.现代临床护理.2008,7(12)：5-8.
[124]张爱风,陆秀珍,任桂花,等.肿瘤患者对信息的需求.华北煤炭医学院学报.2002,4(3)：357.
[125]黄艳,王海珍,,谢亚君.等.乳腺癌患者信息需求研究进展.护理学杂志.2010,25(14)：96-97.
[126]赵小平,黄秋环,黄艳青,等.癌症患者心理需求及现状调查分析.右江医学.2008,36(5)：568-570.
[127]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[128]柳红霞,赵玉荣.乳腺癌病人围术期健康教育需求调查.全科护理.2009,7(10)：2716-2717.
[129]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[130]吴国华,陈素静,徐晖,等.肿瘤病人的健康教育需求调查分析.中国临床康复.2002,6(7)：1038-1039.
[131]虞玲丽,延国娇.乳腺癌化疗患者健康教育需求探讨.中国现代医学杂志.2005,15(12)1875-1879.
[132]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[133]董瑞华,李福洪,王立英,等.乳腺癌患者的生活质量与知识需求之间的关系的研究.中国医疗前沿.2008.3(23)：19-20.
[134]赵慧华,颜美琼.乳腺癌患者手术后健康教育需求的调查.上海护理理.2003,3(4)：5-7.
[135]单玉香,谢亚君,王海珍,等.初诊乳腺癌住院患者健康信息需求的研究.解放军护理杂志.2010,27(9B)：1387-1388、1432.
[136]郭桂芳,肖菊青.乳腺癌手术后患者婚姻质量调查[J].中华护理杂志,2001,4(4)：261.
[137]林慧,刘孟丽,付斌.乳腺癌患者术后自我形象紊乱与重建需求调查及护理干预.护理学报.2007,14(6)：23-24.
[138]Ke-Da Yu, Jun-Jie Li., Gen-Hong Di.et al. A Straightforward but Not Piecewise Relationship between Age and Lymph Node Status in Chinese Breast Cancer Patients. PLoS One.2010 Jun 9;5(6):e11035.
[139]Neeraj K. Arora, Lila J. Finney Rutten, David H. Gustafson, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology 16(2007):474-486.
[140]Cowan C., Hoskins R. Information preferences of women receiving chemotherapy for breast cancer. European Journal of Cancer Care,16:543-550.
[141]Reiko Makabe, Tadashi Nomizu. Social Support and Psychological and Physical States Among Japanese Women With Breast Cancer Before and After Breast Surgery. Oncology forum,34(2007):883-889.
[142]胡碧云,钟慧萍.癌症放射治疗患者健康教育需求调查.齐齐哈尔医学院学报.2004,25(9)：1095-1096.
[143]林小玲,黄伟平.乳腺癌放疗患者对健康教育需求调查及对策.实用医技杂志.2005,12(6A)：1524-1525.
[144]张毅,黎玉梅,林鸣,等.肿瘤患者确诊时信息需求的调查分析.实用护理杂志.2003,19(8)：73.
[145]C.Koopman, K. Angell, J. M. Turner-Cobb, et al. Distress, Coping, and Social Support Among Rural Women Recently Diagnosed with Primary Breast Cancer. The Breast Journal,7(2001):25-33.
[146]Stein Kaasa, Jon Havard Loge, Peter Fayers,et al。 Symptom Assessment in Palliative Care:A Need for International Collaboration. Journal of Clinical Oncology.26(2008):3867-3873.
[147]Pam M., Carla P., Patsy Y., et al. A studu of postdiagnosis breast cancer concerns for women living in rural and remote Queensland. Part Ⅱ:support issues. Aust. J. Rural Health.7(1999):43-52.
[148]王贵桃.癌症病人健康教育需求与对策.内蒙古医学杂志.2007,39(7)：890-892.
[149]常春霞,白波,郝冬梅.癌症患者健康教育需求与对策.现代护理.2009,6(5)：94-95
[150]梁桂菊,李士娥,单淑芹.住院放疗患者健康教育需求调查.中国健康教育.2004,20(7)：642-643.
[151]梁佩仲,陈岱佳,谢德荣,等.齐齐哈尔医学院学报.2006,27(13)：1625-1626.
[152]裴艳,黄欧,方琼.国内乳腺癌病人需求的研究现状分析.外科理论与实践.2010,15(5)：557-559.
[153]徐云轩,吴大兴,徐远超,等。内外向与神经质在大学生乐观-悲观倾向与抑郁关系的中介作用。中国临床心理学杂志.2011,19(1)：116-118.
[154]李鹏,蔡丽,崔壮,等。天津市某三甲医院阑尾炎患者住院费用影响因素的结构方程模型分析。中国卫生统计.20011,28(2)：161-164.
[1]Davide Radice, Alberto Redaelli. Breast Cancer Management Quality-of-Life and Cost Considerations. Pharmacoeconomics 2003; 21 (6):383-396.
[2]Mary A. Hooks. Breast Cancer:Risk Assessment and Prevention. South Med J. 2010 Apr;103(4):333-8.
[3]Anderson BO, Yip CH, Smith RA, Shyyan R, Sener SF, Eniu A, et al. Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the breast health global initiative global summit 2007. Cancer 2008;113(8 Suppl.:2221-43.
[4]Porter P. "Westernizing" women's risks? Breast cancer in lower-income countries. N Engl J Med 2008;358:213-6.
[5]方亚,胡海兰.女性乳腺癌危险因素及其变化[J].中国卫生统计,2009,26(3)：241-246.
[6]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析.现代预防医学.2011,38(3)：468-469.
[7]段学葵,罗志勇.乳腺癌的社区干预与综合防控.中国慢性病预防与控制.2011,19(1)：106-108.
[8]潘秀丹,王慧文,李洵.沈阳市乳腺癌流行病学分析.现代预防医学.2008,35(1)：22-23、26.
[9]赵惠利.郑州市2003～2007年女性乳腺癌发病分析.医药论坛杂志.2008,29(10)：40-41.
[10]许红,毛德强,王燕.重庆市女性肿瘤发病率及年龄特征分析.重庆医学.2010,39(11)：1422-1423、1447.
[11]张馨遥.健康信息需求研究的内容与意义.医学与社会.2010,23(1)：51-53.
[12]Juan Ignacio Arraras, Stephen Wright, Eva Greimel, et al. Development of a ques tionnaire to evaluate the information needs of cancer patients:the EORTC questionnaire. Patient Education and Counseling,54(2004):235-241.
[13]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.
[14]郝莉.马斯洛的需要层次论与组织激励. 科技资讯,2006,3(26)：152-152.
[15]胡亚英,朱青萍等.护士工作满意度相关因素分析.齐鲁护理杂志,2003,9(10)：730-731.
[16]张素华.马斯洛需要层次理论在乳腺癌患者中的应用与护理.齐鲁护理杂 志.2010,16(12)：73-74.
[17]郑燕,徐娟.需要层次理论在癌症患者心理护理中的应用.中国民康医学.2010,22(22)：2920,2985.
[18][18]王衍,李念念.论马斯洛需要层次理论在构建和谐医患关系中的应用.现代医院管理.2008,5：1-3.
[19]苏增罗,李彦州.需要层次理论在乳腺癌心理护理中的应用.护理实践与研究.2008,5(8)：19-20.
[20]何洁丽.需要层次理论在临床护理工作中的应用.现代护理,2008,5(32)：126-127.
[21]余赵娜.运用需要层次理论改进“以病人为中心”的医疗服务.中国医学论理学.2005,18(5)：86-87.
[22]连社君.新型医学模式决定新型医患关系.全科护理.2009,7(3)：815-816.
[23]钟生艳,力晓蓉.现代医学模式在临床医疗活动和管理中的体现.现代医院管理.2010,1：23-24,52.
[24]Galloway S., Graydon J., Harrison D., et al. informational needs of women with a recent diagnosis of breast cancer:development and initial testing of a tool. Journal of advanced nursing,25(1997):1175-1183.
[25]Charlotte E., Peter A.Bath.1 The psychometric properties of the Miller Behavioral Style Scale with adult daughters of women with early breast cancer:a literature review and empirical study. Journal of Advanced Nursing,2000,32(2),366-374.
[26]Degner LF, Davison BJ, Sloan JA, Mueller B. Development of a scale to measure information needs in cancer care. J Nurs Meas 1998;6:137-53.
[27]Cassileth BR, Zupkis RV, Sutton-Smith K, March V. Information and participation preferences among cancer patients. Ann Intern Med 1980;92:832-6.
[28]Derdiarian AK. Effects of information on recently diagnosed cancer patients'and spouses'satisfaction with care. Cancer Nurs 1989; 12:285-92.
[29]Bonevski B, Sanson-Fisher R, Girgis A, Burton L, Cook P, Boyes A. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-25.
[30]L.L.Dubenske, E.B.Beckjord, R.P.Hawkins, et al. Psychometric Evaluation of the Health Information Orientation Scale:A Brief Measure for Assessing Health Information Engagement and Apprehension. Journal of Health Psychology. Vol 14(6)721-730.
[31]K. Hodgkinson, P. Butow, G. E. Hunt, et al。The development and evaluation of a measure to assess cancer survivors'unmet supportive care needs:The CaSUN (Cancer Survivors'Unmet Needs measure).Psycho-Oncology 16(2007):796-804.
[32]Eva Grunfeld, Amy Folkes, Robin Urquharto Do Available Questionnaires Measure the Communication Factors That Patients and Families Consider Important at End of Life? Journal of Clinical Oncology,26 (23):3874-3878.
[33]T Cossich, P Schofield,S A McLachlan.Validation of the cancer needs questionnaire (CNQ) short-form version in an ambulatory cancer setting.Qual Life Res.2004, 13(7):1225-33.
[34]Edward Lindop, Sue Cannon. Evaluating the self-assessed support needs of women with breast cancer. Journal of Advanced Nursing,34(6),760-771.
[35]Allison Boyes, Afaf Girgis, Christophe. Brief assessment of adult cancer patients' perceived needs:development and validation of the 34-item supportive care needs survey(SCNS-SF34). Journal of evaluation in clinical practice.15(2009):602-606.
[36]Toru Okuyama, Tatsuo Akechi, Hiroko Yamashita, et al. Reliability and validity of the Japanese version of the Short-form Supportive Care Needs Survey Questionnaire (SCNS-SF34-J) Psycho-Oncology 18(2009):1003-1010.
[37]A. Fagerlin, I.Lakhani, P. M. Lantz, An informed decision?Breast cancer patients and their knowledge about treatment. Patient Education and Counseling 64 (2006) 303-312.
[38]G. N.L. J. Polacek, M. C. Ramos, R. L. Ferrer. Breast cancer disparities and decision-making among U.S. women. Patient Education and Counseling,65 (2007):158-165.
[39]Alan B. Astrow, Ann Wexler, Kenneth Texeira,et al。Is Failure to Meet Spiritual Needs Associated With Cancer Patients'Perceptions of Quality of Care and Their Satisfaction With Care? JOURNAL OF CLINICAL ONCOLOGY.25 (2007): 5753-5757.
[40]P. Plummer, S. Jackson, J. Konarski, et al. Making Epidemiologic Studies Responsive to the Needs of Participants and Communities:The Carolina Breast Cancer Study Experience. Environmental and Molecular Mutagenesis 39(2002):96-101
[41]I.Mesters, B.Borne,M.Boer, et al.Mersuring information needs among cancer patients. Patient Education and Counseling.43(2001):253-262.
[42]N. Ernstmann, M. Neumann, O. Ommen, et al. Determinants and implications of cancer patients'psychosocial needs. Support Care Cancer (2009) 17:1417-1423.
[43]Friederike Siedentopf, Birgitt Marten-Mittag,Isabell Utz-Billing, et al. Experiences with a specific screening instrument to identify psychosocial support needs in breast cancer patients. European Journal of Obstetrics & Gynecology and Reproductive Biology,148 (2010):166-171.
[44]29. Bonevski B, Sanson-Fisher R, Girgis A et al. Evaluation of an instrument to assess the needs of patients with cancer. Cancer 2000;88:217-225.
[45]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[46][46] KAREN I. CHALMERS,KAREN A. LUKER,SAMUEL J. LEINSTER., Information and support needs of women with primary relatives with breast cancer: development of the Information and Support Needs Questionnaire[J].Blackwell Science Ltd, Journal of Advanced Nursing,2000,35(4):497-507.
[47]BT. Landmark, Ann B(?)hler, Kari Loberg, et al.Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nurs.2008 Apr; 17(7B):192-200.)
[48]S. Schmid-Buchi, R. JG Halfens, T. Dassen, et al. A review of psychosocial needs of breast-cancer patients and their relatives. Journal of Clinical Nursing,17, 2895-2909.
[49]Whelan TJ, Mohide EA, Willan AR, Arnold A, Tew M, Sellick S, et al. The supportive care needs of newly diagnosed cancer patients attending a regional cancer center. Cancer 1997;80:1518-24.
[50]Charles K, Sellick SM, Montesanto B, Mohide EA. Priorities of cancer survivors regarding psychosocial needs. J Psychosoc Oncol 1996; 14:57-72.
[51]Osuna E, Perez-Carceles MD, Esteban MA, Luna A. The right to information for the terminally ill patient. J Med Ethics 1998;24:106-9.
[52]Jarema A. Patient's feedback to disclosure of cancer diagnosis. Psychiatria-Danubina 1996;8:19-27.
[53]Harrison DE, Galloway S, Graydon JE, Palmer-Wickham S, Rich-van der Bij L. Information needs and preference for information of women with breast cancer over a first course of radiotherapy. Patient Educ Couns 1999;38:217-25.
[54]Hack TF, Degner LF, Dyck DG. Relationship between preferences for decisional control and illness information among women with breast cancer:a quantitative and qualitative analysis. Soc Sci Med 1994;39:279-89.
[55]王清,廖秋雄,梁巧莹,等.湛江市妇女对乳腺疾病的健康教育需求.现代医院.2009,9(8)：156-157.
[56]李娅莉,朱跃虎.社区妇女对乳腺疾病知识健康教育需求调查.中国妇幼保健.2008,23(21)：2932-2934.
[57]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—《癌症患者信息选择问卷》 的编制与评估.中国心理卫生杂志.2003,17(11)：750—753.
[58]黄雪薇,张瑛,王秀利,等.癌症患者的信息需求—病人、亲属、医护人员观点比较.中国心理卫生杂志.2003,17(11)：757-759,773.
[59]付菊芳,黄颖,白燕妮,等.96例晚期癌症病人需求评估研究.护理研究.2006,20(7)：1717-1720.张英敏.晚期癌症病人需求的分析与护理体会.天津护理.2008,16(2)：81-82
[60]Richard Fielding. Wendy W.T. Lam. Measuring Social Impacts of Breast Carcinoma Treatment in Chinese Women:The Chinese Social Adjustment Scale.cancer.100(2004):2500-2511.
[6l]姜节卫,夏海英.癌症患者疾病相关信息需求的调查研究.上海护理.2009,9(2)：12-14.
[62]傅碧绿.康复期癌症患者心理状况及相关需求调查分析.现代医院.2010,10(9)：81-83.陈妙庄.对337例癌症患者体检中的相关需求调查分析.当代护理,2007,9：54-56.
[63]余惠兰,陈蕾.乳腺癌术后化疗健康教育需求调查及护理干预.齐鲁护理杂志.2009,15(5)：52-53.
[64]虞玲丽、延国娇.乳腺癌化疗患者健康教育需求探讨.中国现代医学杂志.2005,15(12)：1875-1879.
[65]刘丽华,李桂蓉,陈华,等.乳腺切除术后病人全面康复认知与需求调查分析.家庭护士.2008,6(8)：2171-2173.
[66]柳红,赵玉荣.乳腺癌病人围术期健康教育需求调查.全科护理.2009,7(10)：2716-2717.
[67]林小玲,黄伟平.乳腺癌放疗患者对健康教育需求调查及对策.实用医技杂志.2005,12(6)：1524-1525.
[68]黄晓兰,洪春荣,王晶,等.上海市长宁区乳腺癌患者相关知识、行为及需求调查.中国健康教育.2009,25(9)：714-715.
[69]余志华,阳世伟.乳癌患者信息需求及心理状态调查分析.护理学杂志.2005,20(4)：61-63.
[70][70]R.Davidson, M.E.Milis. Cancer patients'satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[71]林鸣芳,赵艳玲.恶性肿瘤患者健康教育的需求特征及存在问题.解放军护理杂志.2008,25(8B)：39-40.
[72]M.Cappiello, R.S.Cunningham,M.T.Knobf, et al. Breast Cancer Survivors Information and Support After Treatment. Clinical Nursing Research.16(4):278-293.
[73]Mei-Nan Liao, Miin-Fu Chen, Shin-Cheh Chen, et al. Healthcare and support needs of women with suspected breast cancer. Journal of Advanced Nursing.60(3): 289-298.
[74]S. Nikoletti, L. J. Kristjanson, D. Tataryn, et al. Information Needs and Coping Styles of Primary Family Caregivers of Women Following Breast Cancer Surgery. ONCOLOGY NURSING FORUM-VOL 30, NO 6,2003:987-996.
[75]D. E. Harrison, S. Galloway, J. E. Graydon, et al. Information needs and preference for information of women with breast cancer over a first course of radiation therapy. Patient Education and Counseling,38 (1999):217-225.
[76]Neeraj K. Arora, Lila J. Finney Rutten, David H. Gustafson, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psycho-Oncology 16(2007):474-486.
[77]王世平,李晓玲.乳房切除术后不同时间病人需求的调查与分析.护理进修杂志.2004,19(10)：935-937.
[78]Jung-won Lim, Jaehee Yi. The Effects of Religiosity, pirituality, and Social Support on Quality of Life:A Comparison Between Korean American and Korean Breast and Gynecologic Cancer Survivors. Oncology Nursing Forum.36(2009),6:699-708.
[79]Maggi Banning, Haroon Hafeez, Saima Faisal, et al.The Impact of Culture and Sociological and Psychological Issues on Muslim Patients With Breast Cancer in Pakistan. Cancer Nursing,32(2009):317-324.
[80]Renee Royak-Schaler, Susan Racine Passmore, Shahinaz Gadalla, et al. Communication in Breast Cancer Care for African American Women Following Primary Treatment.oncology nursing forum.35(2008):836-844.
[81]B.ERCI, N. Karabulut. Appraising the self-assessed support needs of Turkish women with breast cancer. European Journal of Cancer Care,16(2007),:137-143.
[82]R.Davidson, M.E.Milis. Cancer patients' satisfaction with communication, information and quality of care in a UK region. European Journal of Cancer Care. 14(2005):83-90.
[83]Sigrunn Drageset, Torill Christine Lindstr(?)m. Coping with a possible breast cancer diagnosis:demographic factors and social support.Journal of Advanced Nursing 51(3),217-226.
[84]T. Taskila, M.-L. Lindbohm, R. Martikainen, et al. Cancer survivors'received and needed social support from their work place and the occupational health services. Support Care Cancer (2006) 14:427-435.
[85]Ke-Da Yul,2., Jun-Jie Lil,2., Gen-Hong Di.et al. A Straightforward but Not Piecewise Relationship between Age and Lymph Node Status in Chinese Breast Cancer Patients. PLoS One.2010 Jun 9;5(6):e11035.
[86]M. Martin, F.Gonzalez Palacios, Javier Cortes, et al. Prognostic and predictive factors and genetic analysis of early breast cancer. Clin Transl Oncol (2009) 11:634-642.
[87]Pam M., Carla P., Patsy Y., et al. A studu of postdiagnosis breast cancer concerns for women living in rural and remote Queensland. Part Ⅱ:support issues. Aust. J. Rural Health.7(1999):43-52.
[88]Cowan C., Hoskins R. Information preferences of women receiving chemotherapy for breast cancer. European Journal of Cancer Care,16:543-550.
[89]Reiko Makabe, Tadashi Nomizu. Social Support and Psychological and Physical States Among Japanese Women With Breast Cancer Before and After Breast Surgery. Oncology forum,34(2007):883-889.
[90].Koopman, K. Angell, J. M. Turner-Cobb, et al. Distress, Coping, and Social Support Among Rural Women Recently Diagnosed with Primary Breast Cancer. The Breast Journal,7(2001):25-33.
[91]Stein Kaasa, Jon Havard Loge, Peter Fayers,et al。Symptom Assessment in Palliative Care:A Need for International Collaboration. Journal of Clinical Oncology.26(2008):3867-3873.
[92]M. Peate, B. Meiser, M. Hickey, et al. The fertility-related concerns, needs and preferences of younger women with breast cancer:a systematic review. Breast Cancer Res Treat.116(2009):215-223.